Internalized stigma among people with schizophrenia : Relationship with socio-demographic, clinical and medication-related features

Copyright © 2021 Elsevier B.V. All rights reserved..

BACKGROUND: People with schizophrenia are at high risk of suffering from stigma and internalizing it. Recently, a better understanding of the stigma process has shifted the attention from public stigma to self-stigma, which is deeply debilitating. This study aimed to assess factors associated to self-stigma by evaluating socio-demographic, clinical and treatment-related variables in a group of subjects diagnosed with schizophrenia and to identify predictors of high internalized stigma.

METHODS: Ninety-four inpatients accessing rehabilitative centers with a diagnosis of schizophrenia were included in this cross-sectional study. Measures included both patient-rated scales, assessing internalized stigma, attitude toward medications, side effects experience and subjective well-being, and clinician-rated scales, assessing schizophrenia symptoms and global clinical severity and antipsychotic-related side effects.

RESULTS: Twenty-one patients (22.3%) showed high internalized stigma while 73 (77.7%) did not. Patients experiencing more medication adverse effects and worse subjective well-being were more likely to suffer from internalized stigma according to a logistic regression analysis. Extrapyramidal, psychic and some autonomic reactions also emerged as individual predictors of self-stigma in a separate regression analysis.

CONCLUSIONS: Self-stigma and subjective medication side effects perception represent a relevant issue in patients' life and should be carefully taken into account in clinical practice.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:243

Enthalten in:

Schizophrenia research - 243(2022) vom: 22. Mai, Seite 364-371

Sprache:

Englisch

Beteiligte Personen:

Barlati, Stefano [VerfasserIn]
Morena, Donato [VerfasserIn]
Nibbio, Gabriele [VerfasserIn]
Cacciani, Paolo [VerfasserIn]
Corsini, Paola [VerfasserIn]
Mosca, Alessandra [VerfasserIn]
Deste, Giacomo [VerfasserIn]
Accardo, Vivian [VerfasserIn]
Turrina, Cesare [VerfasserIn]
Valsecchi, Paolo [VerfasserIn]
Vita, Antonio [VerfasserIn]

Links:

Volltext

Themen:

Antipsychotic Agents
Antipsychotics
Journal Article
Schizophrenia
Self-stigma
Side effects
Stigma

Anmerkungen:

Date Completed 14.06.2022

Date Revised 01.07.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.schres.2021.06.007

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM327302143